Immediate bail-out TAP-stenting for the treatment of iatrogenic aortocoronary dissection involving left main bifurcation  

作　　者：Edmundo Patricio Lopes Lao  Shao-Ping Nie  Chang-Sheng Ma 

机构地区：[1]Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China

出　　处：《Journal of Geriatric Cardiology》2013年第2期202-204,共3页老年心脏病学杂志（英文版）

摘　　要：Iatrogenic aortocoronary dissection is a rare but potentially disastrous complication of percutaneous coronary intervention. The left main dissection extending into distal bifurcation involving both the left anterior descending and left circumflex is a complex and vital complication, which is classified as Eshtehardi Type II dissection. We presented a case of iatrogenic left main coronary artery dissection with upcoming closure of both major branches, which was successfully managed by immediate bail-out TAP-stenting. The 77-year-old patient was discharged without any complication, and 1-year follow-up indicated stent patency and favorable clinical result. Immediate bail-out stenting is a feasible and reasonable initial management for this lethal complication.

分 类 号：R[医药卫生]